Kheang Ly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30062 Issued in CA

Practice address

8977 Foothill Blvd Ste D
Rancho Cucamonga, CA 91730-3498

Phone

(909) 989-0944

Fax

(909) 980-9669

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kris Ly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Red Hill Spine, K. Ly Chiropractic Corporation

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1396230041
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154340206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S OLIVE AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032250",
            "telephone_number": "626-518-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8977 FOOTHILL BLVD STE D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303498",
            "telephone_number": "909-989-0944",
            "fax_number": "909-980-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "KHEANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "LY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Luzviminda V Dayrit DDS Inc.
• Alexus Decima Lyde
• Ashley Jamie Lyman
• Rachel Michelle Lynch, SPEECH THERAPIST
• Lynda Kate Martin
• Susan B Lyons

• Chiropractor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.